P Praxis·MD
● Active Type 1 · Individual

Kristin Sue Anderson-Taylor, P.A.

Physician Assistant·Summerville, GA· NPI 1396805529 · Enumerated 2006 · 19 years on NPI
Anderson-Taylor is 1 of 1 physician assistant providers in Summerville and 1 of 1333 in Georgia.
NPI age
19 years
Enumerated 2006-12-11
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
GA, MI, NY
3 states
Status
Active
No deactivations on record
Last NPPES update
2018-09-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1333 active physician assistant providers in Georgia.

NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
3 states
Top 92% — 7% of peers are multi-state
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
411 Orchard Hill Rd
Summerville, GA 307476548
📞 7069789991
Mailing address
411 Orchard Hill Rd
Summerville, GA 307476548
📞 7069789991

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #6019MI license #5601002268NY license #022313 taxonomy 363AM0700X

Identifiers

TypeValueNotes
05 (NY) 1396805529
05 (GA) 1396805529
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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